Individual
JAMAL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3224 LASSITER RD, MARIETTA, GA 30062-5142
(770) 640-6910
Mailing address
1 COLLEGE ST, YOUNG HARRIS, GA 30582-4137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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